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An eSheath, left IJ approach to implantation of a Micra leadless pacemaker in a 2-year-old, 10.9 kg burn victim.
Europace
December 2022
Department of Pediatric Cardiology, Director of Pediatric Electrophysiology, UC Davis Medical Center, Sacramento, CA, USA.
Transcatheter Aortic Valve Replacement via the Right Subclavian Artery Approach: A Case Series.
Innovations (Phila)
November 2021
105551 Manchester Heart Centre, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, UK.
The right subclavian artery (RSA) approach is an infrequently used alternative-access method for transcatheter aortic valve replacement (TAVR), which may be considered when transfemoral and left subclavian artery (LSA) access routes are contraindicated. The double arterial bend encountered along the course of the RSA to the aortic root makes advancement of the TAVR delivery system more challenging, but can be overcome using a steerable delivery system over an ultra-stiff guidewire. We report 5 cases from our institution of TAVRs performed via the RSA approach in patients with severe aortic stenosis that were unsuitable for transfemoral or LSA access.
View Article and Find Full Text PDFAn 80-year-old woman with severe aortic stenosis was planned to undergo transcatheter aortic valve implantation (TAVI) under general anesthesia. Due to severe stenosis of the femoral arteries, the left iliac artery was cut down and a 16 F Edwards SAPIEN Expandable Sheath (eSheath : Edwards Lifesciences, Irvine, CA) was inserted into the artery smoothly. After balloon aortic valvuloplasty (BAV), an artificial valve was tried to deploy but stuck in the middle of eSheath.
View Article and Find Full Text PDFTransfemoral Edwards SAPIEN aortic valve implantation through aortofemoral endograft.
Can J Cardiol
September 2014
Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
We present the case of an 86-year-old woman with an aortobifemoral endograft and porcelain aorta who underwent transfemoral transcatheter aortic valve implantation (TAVI). A femoral cutdown was performed to the left limb of the endograft, and the needle puncture into the graft required sequential incisions and dilation to allow access of the 18F Edwards SAPIEN expandable eSheath (Edwards Lifesciences, Irvine, CA). A 26-mm Edwards SAPIEN transcatheter aortic valve was then successfully deployed.
View Article and Find Full Text PDFA "modified crossover technique" for vascular access management in high-risk patients undergoing transfemoral transcatheter aortic valve implantation.
Catheter Cardiovasc Interv
March 2013
San Raffaele Scientific Institute, Milan, Italy.
Objectives: To describe results from our "modified crossover technique" for vascular access management during transcatheter aortic valve implantation (TAVI).
Background: Vascular access management remains a major cause of complications following TAVI due to the large bore sheaths required.
Methods: All suitable patients undergoing TAVI in our center, between June and August 2011, underwent our "modified crossover technique," which enables the passage of a balloon through left radial access and inflation in the proximal iliac to allow percutaneous closure in a clean field.
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